Active NPI
Marianne Ebrahim, M.D.
- Obstetrics & Gynecology Physician
- Beverly Hills, CA
National Provider Identifier
1083934129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A130314
- Practice address
- 99 N la Cienega Blvd Ste M102
Beverly Hills, CA 90211-2288 - Phone
- (310) 385-3380
- NPI assigned
- Jun 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A130314 | CA | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | BP10037192 | TX |
Addresses
Primary practice location
99 N la Cienega Blvd Ste M102
Beverly Hills, CA 90211-2288
Mailing address
99 N la Cienega Blvd Ste M102
Beverly Hills, CA 90211-2288
Phone (310) 385-3380
Other practice location 1
1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 927-1142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8160 Walnut Hill LN
Suite 200
Dallas, TX 75231-4340
8440 Walnut Hill LN
Suite 800
Dallas, TX 75231-3825
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10037192 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women'S Health Specialist of Dallas, P.a. | Past | Accepting new patients | |
| Texas Health Physicians Group | Obstetrics & Gynecology | Past | Accepting new patients |
Interoperability endpoints
- mebrahim64982@direct.texashealth.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
Obstetrics & Gynecology
-
- Specialist
- Dallas, TX
- NPI 1285854042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1083934129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 N LA CIENEGA BLVD STE M102",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112288",
"telephone_number": "310-385-3380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 N LA CIENEGA BLVD STE M102",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112288",
"telephone_number": "310-385-3380"
}
],
"practiceLocations": [
{
"address_1": "1500 S Main St",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761044917",
"country_code": "US",
"telephone_number": "817-927-1142",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EBRAHIM",
"first_name": "MARIANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-10",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A130314",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "BP10037192",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.